Myocardial revascularization in the XXI century

Dallan, Luís Alberto Oliveira; Jatene, Fábio Biscegli

doi:10.5935/1678-9741.20130017

Cited by 11 publications

(11 citation statements)

References 55 publications

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“…Peripheral muscle force (PMS) can be regarded as a predictor of overall muscular strength, and is associated with functional and nutritional presentation of the patient [ 12 , 13 ] . Nevertheless, the PMS has been little explored in the literature, especially in the context of complications from surgery, the reason why the study was proposed.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Peripheral Muscle Strength of Patients Undergoing Elective Cardiac Surgery: A Longitudinal Study.

Santos¹,

Neto²,

Carvalho³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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IntroductionPeripheral muscle strength has been little explored in the literature in the context of cardiac rehabilitation.ObjectiveTo evaluate the peripheral muscle strength of patients undergoing elective cardiac surgery.MethodsThis was a longitudinal observational study. The peripheral muscle strength was measured using isometric dynamometry lower limb (knee extensors and flexors) at three different times: preoperatively (M1), the day of discharge (M2) and hospital discharge (M3). Participants received physiotherapy pre and postoperatively during the days of hospitalization during the morning and afternoon.ResultsTwenty-two patients were evaluated. The values of peripheral muscle strength of knee extensors preoperative found were about 50% lower than those predicted for the healthy population. When comparing muscle strength prior (M1), with the remaining evaluation, found himself in a fall of 29% for the movement of knee extension and 25% for knee flexion in M2 and a decrease of 10% movement for knee extension and 13% for knee flexion in M3 when comparing with M1.ConclusionThe values of peripheral muscle strength prior of the study patients were lower than predicted for the healthy population of the same age. After the surgical event this reduction is even more remarkable, being reestablished until the time of discharge, to values close to baseline.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Peripheral Muscle Strength of Patients Undergoing Elective Cardiac Surgery: A Longitudinal Study.

Santos¹,

Neto²,

Carvalho³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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“…The treatment of CAD may be clinical/medical or surgical. Despite advances in medical therapy and PCI, coronary artery bypass grafting (CABG) is a safe procedure performed worldwide with low rates of mortality and morbidity in the general population [ 4 ] and it is still excellent option for treatment of obstructive CAD [ 5 ] , even in diabetic patients [ 6 ] , the elderly [ 7 ] and in patients with low left ventricular ejection fraction [ 8 ] . In addition, the CABG can control the persistent ischemia and progression to acute myocardial infarction, in addition to provide symptomatic relief and prevent ischemic complications [ 9 ] .…”

Section: Introductionmentioning

confidence: 99%

Risk factors for mortality of patients undergoing coronary artery bypass graft surgery

Santos¹,

Oliveira²,

Brandi³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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IntroductionCoronary artery bypass grafting is a safe procedure performed worldwide with low rates of mortality and morbidity in general population.ObjectiveTo investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery.MethodsA total of 1,628 consecutive patients undergoing on-pump coronary artery bypass grafting were retrospectively studied from December 1999 to February 2012. Data analysis involved paired Student t test, Mann-Whitney test and Fisher’s exact test for the categorical data. Logistic regression, Odds Ratio and 95%CI were used for definition of risk factors for mortality.ResultsOf a total of 1,628 patients undergoing on-pump coronary artery bypass grafting, 141 (8.7%) died. The following risk factors for mortality were identified after logistic regression: dialysis (OR=7.61; 95%CI 3.58-16.20), neurologic dysfunction type I (OR=4.42; 95%CI 2.48-7.81), use of IABP (OR=3.38; 95%CI 1.98-5.79), cardiopulmonary bypass time (OR=3.09; 95%CI 2.04-4.68), serum creatinine on admission and peak values > 0.4mg/dL (OR=2.67; 95%CI 1.79-4.00), age > 65 years (OR=2.31; 95%CI 1.55-3.44), and time between hospital admission and and surgical procedure (OR=1.53; 95%CI 1.03-2.27).ConclusionDialysis, type I neurologic dysfunction, use of IABP, cardiopulmonary bypass time (> 115 minutes), serum creatinine on admission and peak values>0.4mg/dL, age > 65 years and time between hospital admission and surgical procedure were considered as risk factors for mortality in patients undergoing on-pump coronary artery bypass grafting surgery.

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“…We used the following ABG parameters to evaluate respiratory function in both groups: PCO 2 , PO 2 , HCO 3 and O 2 sat. The parameters were measured two hours after extubation in ICU and then just before leaving the ICU.…”

Section: Clinical Assessmentmentioning

confidence: 99%

“…Cardiovascular diseases (CVD) were the most common underlying cause of death in the world and 17.9 million people died from CVD in 2016, accounting for 31% of all global deaths ( 1 ). Coronary artery bypass graft (CABG) surgery is a safe procedure for treatment of CVD with low rates of morbidity and mortality in general ( 2 ), and is still an excellent option for treatment of obstructive coronary artery disease ( 3 ), in patients with diabetes ( 4 ), elderly patients ( 5 ), and patients with low left ventricular ejection fraction (LVEF) ( 6 ). Although CABG surgery is successful, patients undergoing cardiac surgery are at a risk of postoperative pulmonary complications (PPC), which lead to increased postoperative morbidity and mortality ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery

Nejkov

Bokan-Mirković

Đukić-Macut³

et al. 2020

ACC

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The aim of the study was to evaluate the effects of preoperative respiratory rehabilitation on functional capacity, length of stay in intensive care unit (ICU), duration of mechanical ventilation (MV) and total hospitalization, as well as to estimate arterial blood gas (ABG) values in patients undergoing cardiac surgery. Nineteen patients were included in the randomized observational study, divided into two groups: group A (intervention) and B (control). Preoperative and postoperative rehabilitation was performed in group A, and only postoperative rehabilitation in group B. Rehabilitation was carried out according to a predefined protocol. We used ABG to evaluate respiratory function, two-minute walk test (2MWT) and sit-to-stand test to assess functional capacity. The following data were obtained from medical documentation: duration of MV, length of stay at ICU, occurrence of postoperative pulmonary complications, and length of total hospitalization in both groups. Significant between-group difference was found for the length of total hospitalization and duration of MV (p<0.05 both). Analysis of the mean values of 2MWT on the last day of hospitalization (p=0.005), sit-to-stand test before surgery (p=0.022) and on the last day of hospitalization (p=0.008) showed statistically significant differences. The length of hospital stay significantly correlated with preoperative rehabilitation in group A (r=0.885; p<0.0001). There was no difference in ABG parameters between the groups. The study showed that preoperative respiratory rehabilitation had an effect on reducing duration of MV and length of total hospitalization, and improved functional capacity.

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Myocardial revascularization in the XXI century

Cited by 11 publications

References 55 publications

Evaluation of Peripheral Muscle Strength of Patients Undergoing Elective Cardiac Surgery: A Longitudinal Study.

Evaluation of Peripheral Muscle Strength of Patients Undergoing Elective Cardiac Surgery: A Longitudinal Study.

Risk factors for mortality of patients undergoing coronary artery bypass graft surgery

Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery

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